Comprehensive Pediatric Dentistry

LBN: Comprehensive Pediatric Dentistry
Comprehensive Pediatric Dentistry is an health care organization with primary practice located at 111 E Union Ave , Bound Brook NJ 08805-1761. The organization recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as the primary health care specialty. Comprehensive Pediatric Dentistry can be contacted via phone (732) 356-1830, or through Crystal, Yasmi O via phone (732) 356-1830.

Contact Information

Primary practice address
111 E Union Ave Bound Brook NJ 08805-1761
Fax:
Website:
Authorized official contact:
Name: Crystal, Yasmi O Doctor of Dental Medicine (DMD)

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X DI15948 New Jersey

Profile Details

NPI number 1043441876
LBN Legal business name Comprehensive Pediatric Dentistry
DBA Doing business as
Authorized official Crystal, Yasmi O Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 28th, 2009
Last updated Jul 28th, 2009 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043441876 NPPES
New Jersey MEDICAID 0188395

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